Healthcare Provider Details

I. General information

NPI: 1679386619
Provider Name (Legal Business Name): BREANNA ECHEVARRIA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 SIERRA ROSE DR STE A
RENO NV
89511-2069
US

IV. Provider business mailing address

6080 INGLESTON DR UNIT 1025
SPARKS NV
89436-7085
US

V. Phone/Fax

Practice location:
  • Phone: 775-204-4000
  • Fax: 775-234-4605
Mailing address:
  • Phone: 702-622-6837
  • Fax: 775-234-4605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number842180
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: